Individual
MR. ANDREW GREGORY MAPLES II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 LEE AVE, HIGHLAND SPRINGS, VA 23075-1118
(804) 791-8019
Mailing address
PO BOX 5685, RICHMOND, VA 23220-0685
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T28429445
DRIVER LICENSE
VA
Enumeration date
08/29/2019
Last updated
08/12/2022
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